Healthcare Provider Details

I. General information

NPI: 1497513642
Provider Name (Legal Business Name): HEALING HANDS MINISTRIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 GUS THOMASSON RD
MESQUITE TX
75150-2232
US

IV. Provider business mailing address

4450 GUS THOMASSON RD
MESQUITE TX
75150-2232
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-0855
  • Fax: 972-354-8736
Mailing address:
  • Phone: 214-221-0855
  • Fax: 972-354-8736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ROSA N GOMEZ
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 214-221-0855